Organization
CAROLINA NEUROPATHY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STEPHANIE COGDILL WADDELL CPC (BILLING MANAGER)
(864) 981-2846
Entity
Organization
Contact information
Practice address
101 PROFESSIONAL PARK, SUITE D, GAFFNEY, SC 29340-2319
(864) 489-1446
(864) 489-4909
Mailing address
101 PROFESSIONAL PARK, SUITE D, GAFFNEY, SC 29340-2319
(864) 489-1446
(864) 489-4909
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
086296
NC
208D00000X
General Practice Physician
Primary
MD9903
SC
363LF0000X
Family Nurse Practitioner
201538
NC
363LF0000X
Family Nurse Practitioner
F4423
SC
Other
Enumeration date
08/08/2012
Last updated
08/08/2012
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